Provider Demographics
NPI:1740554278
Name:EXCEL TRANSPORTATION LLC
Entity type:Organization
Organization Name:EXCEL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-780-7750
Mailing Address - Street 1:6363 W CAMP WISDOM RD
Mailing Address - Street 2:422
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75236-2536
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6363 W CAMP WISDOM RD
Practice Address - Street 2:422
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75236-2536
Practice Address - Country:US
Practice Address - Phone:214-780-7750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)